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Organization

NORTHERN ILLINOIS AMBULATORY SERVICE LLC

Active
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Organization

NORTHERN ILLINOIS AMBULATORY SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOWARD S KONOWITZ MD (MANAGING PARTNER)
(847) 921-9733
Entity
Organization

Contact information

Practice address
404 MCHENRY RD., BUFFALO GROVE, IL 60089-6740
(847) 821-9050
Mailing address
1121 LAKE COOK ROAD, SUITE M, DEERFIELD, IL 60015-5234
(847) 945-4550
(847) 948-8103

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL

Other

Enumeration date
07/14/2006
Last updated
08/22/2020
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